ADULT HEALTH 2 HESI EXAM
QUESTIONS & VERIFIED DETAILED
CORRECT ANSWERS PASSED
ALREADY GRADED A+
A nurse is caring for a client with DI. Which data warrants the most immediate
intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - CORRECT ANSWER a. Serum sodium of 185
The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease (PUD). Which subjective data reported by the client supports this medical
diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months - CORRECT
ANSWER c. upper mid-abdominal pain described as gnawing and burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism and observes
that the client's eyeballs are protuberant, causing a wide-eyed appearance and eye
discomfort. Based on this finding, which action should the nurse include in this client's
plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops - CORRECT ANSWER d. Obtain a
prescription for artificial tear drops
To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral
Sclerosis (ALS), which interventions should the nurse implement? (Select all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer - CORRECT ANSWER a. Perform chest
physiotherapy
b. Teach the client breathing exercises
, e. Encourage use of incentive spriometer
A client hospitalized with heart failure (HF). Which intervention should the nurse
implement to improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level - CORRECT ANSWER b. Place the client in high
fowler position
A client who was involved in a motor vehicle collision is admitted with a fractured left
femur which is immobilized using a fracture traction splint in preparation for an open
reduction internal fixation (ORIF). The nurse determines that the client's distal pulses
are diminished in the left foot. Which interventions should the nurse implement? (select
all)
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg.
c. Offer ice chips and oral clear liquids.
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
3. Administer oral antispasmodics and narcotic analgesics - CORRECT ANSWER a.
Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The healthcare provider prescribes diagnostic tests for a client whose chest X-ray
indicates pneumonia. Which diagnostic test should the nurse review for implementation
in the most therapeutic treatment of the pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gases (ABG)
d. Computerized tomography (CT) of the chest - CORRECT ANSWER a. Sputum
culture and sensitivity
A client with a history of asthma and bronchitis arrives a the clinic with shortness of
breath, productive cough with thickened, tenacious mucous, and the inability to walk up
a flight of stairs without experiencing breathlessness. Which is most important for the
nurses to instruct the client about self-care?
a. Call the clinic if undesirable side effects of medications occur
b. Avoid crowded enclosed areas to reduce pathogen exposure
c. Increase the daily intake of oral fluids to liquefy secretions
d. Teach anxiety reduction methods for feelings of suffocation - CORRECT ANSWER
c. Increase the daily intake of oral fluids to liquefy secretions
The home health nurse provides teaching about insulin self injection to a client who was
recently diagnosed with diabetes mellitus. When the client begins to perform a return
QUESTIONS & VERIFIED DETAILED
CORRECT ANSWERS PASSED
ALREADY GRADED A+
A nurse is caring for a client with DI. Which data warrants the most immediate
intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - CORRECT ANSWER a. Serum sodium of 185
The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease (PUD). Which subjective data reported by the client supports this medical
diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months - CORRECT
ANSWER c. upper mid-abdominal pain described as gnawing and burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism and observes
that the client's eyeballs are protuberant, causing a wide-eyed appearance and eye
discomfort. Based on this finding, which action should the nurse include in this client's
plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
c. Review the client's serum electrolyte values
d. Obtain a prescription for artificial tear drops - CORRECT ANSWER d. Obtain a
prescription for artificial tear drops
To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral
Sclerosis (ALS), which interventions should the nurse implement? (Select all)
a. Perform chest physiotherapy
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
e. Encourage use of incentive spriometer - CORRECT ANSWER a. Perform chest
physiotherapy
b. Teach the client breathing exercises
, e. Encourage use of incentive spriometer
A client hospitalized with heart failure (HF). Which intervention should the nurse
implement to improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level - CORRECT ANSWER b. Place the client in high
fowler position
A client who was involved in a motor vehicle collision is admitted with a fractured left
femur which is immobilized using a fracture traction splint in preparation for an open
reduction internal fixation (ORIF). The nurse determines that the client's distal pulses
are diminished in the left foot. Which interventions should the nurse implement? (select
all)
a. Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg.
c. Offer ice chips and oral clear liquids.
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
3. Administer oral antispasmodics and narcotic analgesics - CORRECT ANSWER a.
Verify pedal pulses using a doppler pulse device
b. Evaluate the application of the splint to the left leg
d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
The healthcare provider prescribes diagnostic tests for a client whose chest X-ray
indicates pneumonia. Which diagnostic test should the nurse review for implementation
in the most therapeutic treatment of the pneumonia?
a. Sputum culture and sensitivity
b. Blood cultures
c. Arterial blood gases (ABG)
d. Computerized tomography (CT) of the chest - CORRECT ANSWER a. Sputum
culture and sensitivity
A client with a history of asthma and bronchitis arrives a the clinic with shortness of
breath, productive cough with thickened, tenacious mucous, and the inability to walk up
a flight of stairs without experiencing breathlessness. Which is most important for the
nurses to instruct the client about self-care?
a. Call the clinic if undesirable side effects of medications occur
b. Avoid crowded enclosed areas to reduce pathogen exposure
c. Increase the daily intake of oral fluids to liquefy secretions
d. Teach anxiety reduction methods for feelings of suffocation - CORRECT ANSWER
c. Increase the daily intake of oral fluids to liquefy secretions
The home health nurse provides teaching about insulin self injection to a client who was
recently diagnosed with diabetes mellitus. When the client begins to perform a return
